
<form name="input" action="index.php?module=VoteMember&type=adminform&func=savelayer&ctrl=Layer" method="post">
  <input type="hidden" name="form[uid]" value="<!--[$smarty.get.uid]-->" /><br /> 
	Username : <!--[$smarty.get.uid]--><br />
	Username : <!--[$smarty.get.uname]--><br />
	Province : <input type="text" name="ext[province_id]" /><br />
	District : <input type="text" name="ext[district_id]" /><br />
	Tambon :   <input type="text" name="ext[tambon_id]" size="100"/><br /> Please insert comma, Ex. 840401,840402,840403
	<input type="submit" value="Submit" />
</form><br />


